Shoulder
Ultrasound examination
High-resolution musculoskeletal ultrasound of the shoulder (tendons, bursa, biceps, cuff insertion, AC joint) to document structural lesions, bursitis, effusion and dynamic impingement, directly correlated with clinical findings; this ultrasound assessment is a complementary tool used to support clinical reasoning and to guide rehabilitation treatment choices.
Clinical examination and testing
Standardized shoulder assessment including pain mapping, active/passive range of motion, strength testing and specific orthopedic tests to characterize the lesion (cuff, biceps, instability, stiffness, capsulitis, etc.).
Scapula dyskinesia evaluation
Analysis of scapulo-thoracic motion in static and dynamic conditions to detect abnormal scapular kinematics (tilt, rotation, internal rotation) that may contribute to subacromial overload or pain.
Muscular strength evaluation with computerized dynamometer
Isometric strength testing of the rotator cuff and scapular muscles with a computerized device, allowing quantification of deficits and agonist/antagonist ratios and objective follow-up over time.
Manual therapy rehabilitation
Specific hands-on techniques (joint mobilization, soft tissue work, capsular stretching) aimed at restoring painless range of motion, normal arthrokinematics and reducing nociceptive input.
Articular re-centering
Targeted passive techniques to optimize gleno-humeral congruence and instantaneous center of rotation in a constrained curved space, in order to reduce superior migration and mechanical conflict.
Calcification treatment with shockwave therapy
Focused shockwave treatment of symptomatic calcific tendinopathy, under ultrasound guidance when needed, with standardized energy and number of impulses, integrated in a global shoulder rehabilitation program.
Hand
US examination
Musculoskeletal ultrasound of the hand and wrist (tendons, pulleys, joint surfaces, TFCC, synovitis, implants) to support diagnosis and guide the rehabilitation strategy.
Physiotherapy
Specialized hand therapy combining edema management, scar care, joint mobilization, tendon gliding, desensitization and functional retraining.
Thermoformed orthosis
Custom-made thermoformed splints (static, dynamic or functional) to protect, mobilize or guide the hand and wrist according to the surgical procedure or pathology.
Post-surgical rehabilitation
Protocol-driven rehabilitation after hand surgery (ligament, tendon, nerve, arthroplasty, trapeziectomy, APSI, etc.), balancing protection and early controlled motion.
First carpal row rehabilitation
Specific rehabilitation of the first carpal row and CMC1 joint (including APSI or other implants), focused on stability, mobility, muscular